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膈式呼吸联合腰椎稳定性训练治疗慢性非特异性下背痛的疗效观察OA

Effect of diaphragmatic breathing combined with lumbar stability training on chronic non-specific low back pain

中文摘要英文摘要

目的 探讨膈式呼吸联合腰椎稳定性训练对慢性非特异性下背痛患者疼痛程度、腰椎功能及生活质量的影响.方法 选取2022年6月至2023年9月我院收治的60例慢性非特异性下背痛患者为研究对象,随机分为试验组和对照组,每组30例.两组患者均进行腰椎稳定性训练,试验组在此基础上进行膈式呼吸训练.在基线、治疗4周、治疗8周分别进行视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、腰椎屈曲范围、健康调查简表(SF-36)评定.结果 与治疗前相比,两组治疗后VAS、ODI、腰椎屈曲范围、SF-36均显著改善(P<0.05).组间比较,治疗4周时试验组改善更为明显,除SF-36在精力、情感职能、精神健康三个维度不存在显著性差异(P>0.05),其余指标均存在显著性差异(P<0.05),治疗8周时VAS、ODI、腰椎屈曲范围、SF-36均显著改善(P<0.05).结论 在腰椎稳定性训练的基础上开展膈式呼吸训练能显著改善慢性非特异性下背痛患者腰部疼痛及腰椎功能,提高生活质量.

Objective To investigate the effects of diaphragmatic breathing combined with lumbar stability training on pain de-gree,lumbar function and quality of life in patients with chronic non-specific low back pain.Methods Sixty patients with chronic non-specific low back pain admitted from June 2022 to September 2023 were selected as the study subjects and randomly divided into the experimental group and the control group,with 30 cases in each group.Both groups of patients underwent lumbar stability train-ing,while the experimental group underwent diaphragmatic breathing training on this basis.It was performed at baseline,4 weeks after treatment,and 8 weeks after treatment Visual analogue Scale(VAS),Oswestry Disability Index(ODI),lumbar curvature range and Health Survey Summary Form(SF-36)were evaluated.Results Compared with before treatment,VAS,ODI,lumbar flexion range and SF-36 in both groups significantly improved after treatment(P<0.05).After 4 weeks of treatment,the experimental group showed more significant improvement.Except for SF-36,there was no significant difference in energy,emotional function and mental health dimensions(P>0.05),all other indicators showed significant differences(P<0.05).At 8 weeks of treatment,VAS,ODI,lumbar flexion range,SF-36 showed significant improvement(P<0.05).Conclusion Diaphragmatic breathing training on the basis of lumbar stability training can significantly improve the lumbar pain and lumbar function in patients with chronic non-specific low back pain,and improve the quality of life.

姜菲;李素;陈万流

新沂市中医医院 221400

膈式呼吸腰椎稳定性训练慢性非特异性下背痛

diaphragmatic breathinglumbar stability trainingchronic non-specific low back pain

《中国老年保健医学》 2024 (002)

3-7 / 5

徐州市科技计划项目(编号:KC21276)

10.3969/j.issn.1672-2671.2024.02.001

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